Displaying 139661-139670 of 1611142 results.
ID:
139661
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139662
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139663
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139664
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139665
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139666
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139667
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139668
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139669
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139670
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139661139662139663139664139665139666139667139668139669139670